Provider Demographics
NPI:1033524798
Name:H-SQUARED HEALTH RESOURCES INC
Entity Type:Organization
Organization Name:H-SQUARED HEALTH RESOURCES INC
Other - Org Name:H2 HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANTON-KILGORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-250-0355
Mailing Address - Street 1:119 GRIFFIN ST
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3123
Mailing Address - Country:US
Mailing Address - Phone:770-250-0355
Mailing Address - Fax:770-389-9357
Practice Address - Street 1:119 GRIFFIN ST
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3123
Practice Address - Country:US
Practice Address - Phone:770-250-0355
Practice Address - Fax:770-389-9357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA03156115Medicaid